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1639136559
JACK LAWRENCE MAYER
MIDDLEBURY, VT
NPI
1639136559
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
2080A0000X Pediatrics Adolescent Medicine
(Licence: VT 042-0004728)
Enumeration Date
2006-04-26
Last Update Date
2007-07-09
Business Address
DR. JACK LAWRENCE MAYER M.D., FAAP
44 COLLINS DR SUITE 202
MIDDLEBURY, VT 05753-8528
Phone number: 802-388-1338
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Mailing Address
DR. JACK LAWRENCE MAYER M.D., FAAP
44 COLLINS DR SUITE 202
MIDDLEBURY, VT 05753-8528
Phone number: 802-388-1338
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